U.S. patent application number 14/798717 was filed with the patent office on 2015-11-19 for systems and processes for forming anatomical features in dentures.
The applicant listed for this patent is Global Dental Science LLC. Invention is credited to Andrzej J. Jakson, Scott C. Keating, Timothy C. Thompson.
Application Number | 20150327961 14/798717 |
Document ID | / |
Family ID | 48982527 |
Filed Date | 2015-11-19 |
United States Patent
Application |
20150327961 |
Kind Code |
A1 |
Thompson; Timothy C. ; et
al. |
November 19, 2015 |
SYSTEMS AND PROCESSES FOR FORMING ANATOMICAL FEATURES IN
DENTURES
Abstract
The system of a preferred embodiment uses a process whereby a
true replication of the patient's jaw structure is created in a
digital three dimensional model. This true replication is then used
to precisely locate and/or copy the anatomical landmarks of the
patient for use in fabricating a denture base for use in a denture
for the individual patient. This system is able to create a denture
with precisely located features corresponding to the anatomical
landmarks of the patient with little manual intervention.
Inventors: |
Thompson; Timothy C.;
(Fountain Hills, AZ) ; Keating; Scott C.;
(Louisville, CO) ; Jakson; Andrzej J.; (Amherst,
NY) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Global Dental Science LLC |
Scottsdale |
AZ |
US |
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|
Family ID: |
48982527 |
Appl. No.: |
14/798717 |
Filed: |
July 14, 2015 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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13823621 |
Mar 14, 2013 |
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PCT/US11/59230 |
Nov 3, 2011 |
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14798717 |
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12939138 |
Nov 3, 2010 |
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13823621 |
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Current U.S.
Class: |
700/98 ; 433/213;
703/11 |
Current CPC
Class: |
G16H 20/40 20180101;
A61C 9/004 20130101; A61C 13/0004 20130101; A61C 13/10 20130101;
Y10T 29/49567 20150115 |
International
Class: |
A61C 13/00 20060101
A61C013/00; G05B 19/4099 20060101 G05B019/4099; G06F 19/00 20060101
G06F019/00; A61C 13/34 20060101 A61C013/34 |
Claims
1. A computer-implemented method for creating anatomical features
in a denture, the method comprising: creating a digital three
dimensional model of the mouth and jaw structure of a patient;
identifying anatomical landmarks of the patient on the digital
model; creating a digital model of a denture base that includes the
identified anatomical features; and fabricating a denture base that
corresponds
2. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying the line between the hard
and soft palates; and the step of creating a digital model of a
denture base that includes the identified anatomical features
including creating a post dam on the denture base model.
3. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying the labial frenum; and
the step of creating a digital model of a denture base that
includes the identified anatomical landmarks includes creating a
notch based on the labial frenum.
4. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying the buccal frenums; and
the step of creating a digital model of a denture base that
includes the identified anatomical landmarks includes creating
notches based on the buccal frenums.
5. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying the buccal reflection;
and the step of creating a digital model of a denture base that
includes the identified anatomical landmarks includes creating an
undercut adjacent the buccal roll corresponding to the buccal
reflection.
6. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying the trim line; and the
step of creating a digital model of a denture base that includes
the identified anatomical landmarks includes creating a margin or
trim line along the buccal reflection.
7. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying the rugae; and the step
of creating a digital model of a denture base that includes the
identified anatomical landmarks includes creating a true rugae on
the digital model.
8. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying areas for thinning on the
digital model; and the step of creating a digital model of a
denture base that includes the identified anatomical landmarks
includes selectively thinning the denture base on the digital
model.
9. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying areas of soft tissue
around the teeth of the digital model; and the step of creating a
digital model of a denture base that includes the identified
anatomical landmarks includes creating soft tissue lines around the
gum line around the teeth that includes to simulate the root of the
tooth'
10. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying areas for placement of
implant supports on the digital model; and the step of creating a
digital model of a denture base that includes the identified
anatomical landmarks includes locations for implant-supports on the
digital model.
11. A computer-implemented method for creating anatomical features
in a denture, the method comprising: determining measurements of
anatomical landmarks of a patient; scanning an impression of the
bite alignments of the patient; creating a digital three
dimensional model of the patient; identifying anatomical landmarks
of the patient on the digital model; creating a digital model of a
denture base that includes the anatomical features corresponding to
the landmarks; optimizing the anatomical, functional, and aesthetic
features; and selecting denture teeth that corresponds to the
digital denture base model.
12. The method of claim 11 wherein said step of determining
measurements of anatomical landmarks of a patient includes:
determining the measurements of at least one of the following group
of anatomical features: lip support, smile line, lip height,
vertical height, centric jaw relationships.
13. The method of claim 11 wherein said step of identifying the
anatomical landmarks include: identifying the line between the hard
and soft palates; and the step of creating a digital model of a
denture base that includes the features corresponding to the
landmarks includes creating a post dam on the denture base
model.
14. The method of claim 11 wherein said step of identifying the
anatomical landmarks include: identifying the labial frenum; and
the step of creating a digital model of a denture base that
includes the features corresponding to the landmarks includes
creating a notch based on the labial frenum.
15. The method of claim 11 wherein said step of identifying the
anatomical landmarks include: identifying the buccal frenums; and
the step of creating a digital model of a denture base that
includes the features corresponding to the landmarks includes
creating notches based on the buccal frenums.
16. The method of claim 1 wherein said step of identifying the
anatomical landmarks include: identifying the buccal reflection;
and the step of creating a digital model of a denture base that
includes the features corresponding to the landmarks includes
creating an undercut adjacent the buccal roll corresponding to the
buccal reflection.
17. The method of claim 11 wherein said step of identifying the
anatomical landmarks include: identifying the trim line; and the
step of creating a digital model of a denture base that includes
the features corresponding to the landmarks includes creating a
margin line based on the trim line.
18. The method of claim 11 wherein said step of identifying the
anatomical landmarks include: identifying rugae; and the step of
creating a digital model of a denture base that includes the
features corresponding to the landmarks includes creating a true
rugae based on the patient's rugae.
19. The method of claim 11 wherein said step of identifying the
anatomical landmarks include: identifying the areas for thinning;
and the step of creating a digital model of a denture base that
includes the features corresponding to the landmarks includes
thinning the denture base at the selected areas.
20. The method of claim 11 wherein said step of identifying the
anatomical landmarks include: identifying the areas for thinning
through finite element analysis; and the step of creating a digital
model of a denture base that includes the features corresponding to
the landmarks includes thinning the denture base at the selected
areas.
21. The method of claim 11 wherein said method further includes the
steps of: manufacturing a denture base; temporarily installing the
selected teeth to the denture base; allowing the patient to try the
denture base and teeth; using the denture base as a secondary
impression tray if the denture base did not properly fit and
repeating the earlier steps to create a new denture for the patient
to try; permanently installing the teeth if the denture base
properly fits the patient; and proving the final denture to the
patient.
22. A system for creating anatomical features in a denture for a
patient, the system comprising: a processing device configured to
execute computer-readable code; a memory device connected to said
processing device for storing computer-readable code; an interface
for receiving data relevant to a particular patient and storing
said data in said memory device; a rendering and optimizing engine
for creating a digital three dimensional model of the mouth and jaw
structure of a patient; an identifying engine for determining the
location of certain anatomical landmarks of the patient from the
digital model; a registration engine for registering the location
of the certain anatomical landmarks of the patient; and a modeling
engine for creating structure corresponding to the anatomical
landmarks of the patient.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a Continuation of, and claims priority
to and the benefit of, U.S. patent application Ser. No. 13/823,621
filed on Mar. 14, 2013, and entitled "SYSTEMS AND PROCESSES FOR
FORMING ANATOMICAL FEATURES IN DENTURES" and PCT Application Serial
No. PCT/US11/59230 filed Nov. 3, 2011, and entitled "SYSTEMS AND
PROCESS FOR FORMING ANATOMICAL FEATURES IN DENTURES"; and U.S.
patent application Ser. No. 12/939,138 filed Nov. 3, 2010, and
entitled SYSTEMS AND PROCESSES FOR FORMING ANATOMICAL FEATURES IN
DENTURES, each aforementioned application is incorporated by
reference in its entirety for all purposes.
FIELD OF THE INVENTION
[0002] This invention relates to the field of manufacturing of
dentures and particularly forming anatomical and functional
features in dentures.
BACKGROUND OF THE INVENTION
[0003] Dentures need to be closely fitted to anatomical landmarks
on the patient in order for the denture to comfortably fit as well
as to be under the neuromuscular control of the patient. It is
critical for the dentures to properly fit in order for the dentures
to be worn comfortably and securely without the embarrassment of
falling out during use.
[0004] The anatomical landmarks are typically located relative to
the patient's anatomy by using a customized denture impression
tray. Thermoplastic molding compound is applied along the
peripheral edges of the tray which is positioned in the patient
while the compound is soft. The patient manipulates their jaw while
the compound is setting to provide in the impression appropriate
clearances within the buccal, labial and/or lingual folds. This
process is uncomfortable for the patient and does not provide
precise location of the anatomical features. The resulting
impressions are typically used in creating a wax rim. The wax rim
is tried in the patient and marked to provide areas which need to
be carved for a better fit. This requires skill on the part of the
dentist and technicians.
[0005] One critical area of fit for the denture is the post dam.
The post dam on a denture is a ridge along the back of the denture
which presses slightly into the posterior palate to form a seal.
The increased thickness of the denture along a narrow border adds
pressure on the tissue and maintains a vacuum seal. Without this
sealing effect, the upper denture the vacuum between the denture
and the roof of the mouth is reduced or lost and the denture
loosens as the wearer talks, chews or swallows. This seal is
critical for the upper denture to be secure in the patient.
[0006] The ideal location for the post dam is along the junction of
the hard and soft palates. The junction between the hard and soft
palate where the denture border lies is neither a straight line nor
of uniform consistency. It is harder in the midline and soft on
both sides of the midline. Thus, an ideal post dam has to reflect
the anatomy and features of that part of the mouth. If the denture
extends too far to the rear of the mouth, the patient may suffer
from gagging. If the denture extends too much into the hard palate,
the denture will likely lose the vacuum seal and will not fit.
[0007] Currently, the post dam is created on the denture by
modifying the impressions or by application of a wax material to
the area of the plaster model representing the roof of the mouth.
Both require the use of a plaster model of the denture upon which
the post dam is carved by a technician based on the estimation of
where the line between the hard and soft palate occurs in the
impression into the mold from the denture will be fabricated. Both
techniques are less than precise in locating the ideal position.
Thus the precision on where the post dam is located depends upon
the quality of the impressions and the skill of the technician.
[0008] Another set of anatomical feature that are critical for the
proper use of dentures are the labial and buccal frenae. The labial
frenum attaches to the center of the upper lip and between the
upper two front teeth while the buccal frenums attach the alveolar
ridge to the cheek on each side of the mouth. If the matching
notches of the denture are not located precisely for the labial
frenum and the buccal frenums, the denture can often be pulled
loose. Currently these frenums are visually located by the dentist
or technician and the notches formed by a file in the
impressions.
[0009] The rugae is typically neglected in the creation of
dentures. The palatial rugae is asymmetrical and has irregular
elevations of the mucosa located in the anterior third of the
palate. Each individual has a unique rugae which can affect the
speech of the individual. Currently, most dentures do not include a
rugae and are smooth, instead. In those instances where a denture
does include a rugae, the rugae is typically formed from a template
rather than having a unique rugae for each patient.
[0010] Thus, presently there is no process for creating dentures
that have the precise fit to or mimicking of the anatomical
features of the patients mouth.
SUMMARY OF THE INVENTION
[0011] The present invention provides systems and processes for
creating dentures that have features precisely located and formed
to provide a close comfortable fit for the dentures in the patient.
These features provide critical functional and aesthetic
improvement for the fit and comfort of the patient. The system of a
preferred embodiment uses a process whereby a true replication of
the patient's jaw structure is created in a digital three
dimensional model. This true replication is then used to precisely
locate and/or copy the anatomical landmarks of the patient for use
in fabricating a denture base for use in a denture for the
individual patient.
[0012] The term denture base generally refers to the part of a
denture that fits the oral mucosa of the basal seat, restores the
normal contours of the soft tissues of the edentulous mouth, and
supports the artificial teeth. The term denture refers to the
denture base with the artificial teeth attached. The term
anatomical landmarks refers to the structures on the anatomy of the
wearer that define the periphery of the denture. The term
anatomical features includes the features corresponding to the
anatomical landmarks of the wearer as well as aesthetic and
functional features that are created in the denture.
[0013] One anatomical landmark that is determined preferably by the
system, but alternatively by a technician using the system is the
line between the hard and soft palates. This line is irregular and
difficult to determine precisely using current techniques. One
preferred embodiment of the present invention determines this line
from the digital model. Once this line is determined, a post dam is
created on the digital model.
[0014] Another set of anatomical landmarks that are determined are
the labial frenum and the buccal frenums. The precise location of
the frenums in a preferred embodiment is identified so that notches
matching these frenums are precisely located and shaped in the
denture base. This minimizes dislocation of the denture during
speech and improves the comfort, fit and aesthetics of the
denture.
[0015] Another preferred embodiment accentuates the buccal
reflection of the patient. This accentuation is called the buccal
roll. The buccal roll for purposes of this patent is defined as the
small rounded ridge that is added to the denture to improve vacuum
adherence, goes from the anterior middle back to the most posterior
points on the outer margin. From this precise location of the
buccal roll, a slight undercut can be formed in the denture base.
The tissues and muscles surrounding the buccal roll will engage
into the undercut to form a gripping region to further secure the
denture.
[0016] The system of a preferred embodiment is able to precisely
locate the margin, or trim line along the buccal reflection. This
reduces the time for technician to carve or trim the denture base
after molding and improves the comfort. This line can also be
registered by the system to be included into the digital denture
model and on the denture base.
[0017] Another embodiment of the present invention determines the
soft tissue lines from the digital model so that they can be
registered and included into the denture base for fabrication. In
particular, the gingival margin where the gum ends on the teeth and
the soft tissue surrounding the roots of the teeth below the gum
are mimicked on the denture base. These soft tissue lines are
largely for aesthetic reasons but also may improve the comfort to
the patient.
[0018] One unique feature of a preferred embodiment is able to
create the rugae of the individual patient for use in the denture
base. The rugae is copied on the tissue side and mimicked on the
teeth side. The rugae can also be accentuated or diminished as
needed to improve the speech or comfort of the patient. Each rugae
is unique to an individual and affect the speech and comfort of the
individual. The rugae is also used to identify individuals for
forensic purposes. The rugae is registered by the system for
copying into the digital denture base model for selection or
fabrication in the denture base.
[0019] The system of a preferred embodiment may also be used to
select areas of the denture base that may be selectively thinned or
thickened. This thinning or thickening may be done across the arch
of the denture base, along the palatial region of the denture base
or around the teeth pockets. The system or a user of the system is
able to identify areas on the digital model that may be able to be
thinner without jeopardizing structural integrity. The system can
perform finite element analysis or other design on the fly
techniques to determine the optimum design for the denture base and
the denture teeth.
[0020] In a preferred embodiment, once the anatomical (including
aesthetic and functional features) have been formed in the digital
denture model, the denture teeth are selected or fabricated, the
denture base is fabricated. The teeth are temporarily installed in
the denture base to create a try-in denture. The try-in denture is
then shipped to the dentist for a patient try-in. If the fit is not
satisfactory, then the denture is used as a secondary impression
tray and new impressions are created and scanned. These scans along
with any additional changes in measurement data are put back into
the system to render an improved digital denture model. New denture
teeth are selected or fabricated based on this improved model, if
necessary. The teeth are once again temporarily installed and the
improved try-in denture is ready for another try-in with the
patient.
[0021] The system of a preferred embodiment may also be to select
and design areas where implant supports may be placed. These
implant supports could be for example a bar or housing. The
placement could be a optimization process between the anatomical
landmarks captured by a CT scan (bone density and shape) and the
aesthetics and functional aspects of the denture.
[0022] This process is continued until the patient and dentist are
satisfied with the denture. Once the denture has been deemed
satisfactory, the denture is shipped back to the lab so that the
teeth can be permanently installed and the final finish and polish
procedures are performed. The finished denture is then shipped to
the dentist for the patient final insert and acceptance.
[0023] These and other features of the claimed inventions will be
evident from the ensuing detailed description of preferred
embodiments, from the drawings and from the claims.
BRIEF DESCRIPTION OF THE DRAWINGS
[0024] FIG. 1 illustrates a workflow diagram of an embodiment of
the present invention.
[0025] FIG. 2 is an inner and outer scan of a bite impression.
[0026] FIG. 3 is a rendition of a three dimensional model of a
denture base.
[0027] FIG. 4 is an illustration of the mandibular arch
[0028] FIG. 5 is an illustration of the maxillary arch.
[0029] FIG. 6 is an illustration of a rear perspective view of a
denture base of a preferred embodiment of the present
invention.
[0030] FIG. 7 is a front perspective view of the denture base.
[0031] FIG. 8 is top perspective view of the denture base.
[0032] FIG. 9 is a rear view of the denture base.
[0033] FIG. 10 is a top view of the lower denture base.
[0034] FIG. 11 is an illustration of a denture base with implant
housings.
DETAILED DESCRIPTION
[0035] The present invention provides systems and process for the
fabrication of dentures that correspond to anatomical landmarks of
the patient. Descriptive embodiments are provided before for
explanatory purposes. It is to be expressly understood that the
present invention is not be limited to these descriptive
embodiments. Other embodiments are considered to be within the
scope of the present invention, including without limitation the
use of the present invention for other applications, such as
denture duplication , dental implants, and other dental and
orthodontic applications. The descriptions below discuss the
systems of the present invention as used in dental labs, but it is
to be expressly understood that these systems could also be
implemented in the dentist office or through a network allowing
interaction between the dentist and the dental lab through the
systems. The processes and systems of the present invention may
also be used in combination with all or parts of the following co
pending applications filed on Nov. 3, 2010, entitled System and
Processes for Optimization for Dentures, Ser. No. ______; System
and Process for Duplication of Dentures, Ser. No. ______;
Combination Tool for Measuring Dental Anatomical Features, Ser. No.
______; and Removable Tool for Denture Uses, Ser. No. ______; all
of which are hereby incorporated herein by reference.
Overview
[0036] The terms denture base generally refers to the part of a
denture that fits the oral mucosa of the basal seat, restores the
normal contours of the soft tissues of the dentulous mouth, and
supports the artificial teeth. The term denture refers to the
denture base with the artificial teeth attached. The term
anatomical landmarks refers to the structures on the anatomy of the
wearer that define the periphery of the denture. The term
anatomical features includes the features corresponding to the
anatomical landmarks of the wearer as well as functional and
aesthetic features that are created in the denture.
[0037] The system of a preferred embodiment uses a process whereby
a true replication of the patient's jaw structure is created in a
digital three dimensional model. This true replication is then used
to precisely locate and/or copy the anatomical landmarks of the
patient for use in fabricating a denture base for use in a denture
for the individual patient.
[0038] In one preferred embodiment as described in the flow chart
of FIG. 1, cans of the patient's bite impressions are taken and a
number of measurements from the patient on their initial visit.
These measurements are based on the anatomical features of the
patient. The dentist may also provide information regarding to the
selection of the teeth. This information is transmitted to the
dental lab where the system creates a digital three dimensional
model of the patient's jaw structure from the scans and from the
measurements. It is to be expressly understood that other methods
of creating a digital three dimensional model of the jaw structure
may be used as well. The process described herein is only one
embodiment for doing so.
[0039] Once the digital model has been created, denture teeth are
selected from a library or fabricated directly for that digital
model. This can be based on using a library and selecting the best
denture teeth, through an optimization process as described in the
above identified co pending application, or through another
process.
[0040] The system of a preferred embodiment of the present
invention either creates a digital denture base or modifies an
existing digital denture base to create the best fit in the patient
by precise use of the anatomical landmarks of the patient. These
include locating the ideal location of the post dam, locating and
forming the notches for the labial and buccal frenums, creating the
idealized margins along the buccal reflection, creating the
idealized gum line and root structures, creating a true copy of the
patient's palatial rugae and duplicating that structure on the
denture base, locating the soft tissue lines of the patients mouth,
locating areas for dental implant structures and any other features
that are useful or desirable from either a functional or aesthetic
standpoint.
[0041] A description of one process and system for preforming the
claimed inventions is described below. In this preferred
embodiment, a digital three dimensional model of the patient's
mouth and jaw structure is created from scanned bite impressions
and from precise measurements of the anatomical features of the
patient.
Measurement Process
[0042] The dentist obtains data regarding several anatomical
landmarks of the patient to send to the dental lab. First, the
dentist takes the bite impressions. This can be done by using an
upper bite impression tray, a lower bite impression tray and a
centric relationship tray or a triple bite impression tray that
simultaneously takes upper and lower and centric bite impressions.
The resulting bite impressions are digitally scanned as shown in
FIG. 2 and transmitted to the lab or directly into the system. The
bite impressions provide the bite registration, the prepared area
and the opposing teeth. Alternatively, or in conjunction with this
process, an intraoral digital scanning may be done.
[0043] The dentist also takes additional measurements of anatomical
features of the patient. These include, without limitation, the
vertical height relation to the upper and lower bite alignment; the
lip support of the patient; the smile line of the patient; the
centric relationship of the patient; and the midline measurement.
Other measurements may be taken as well.
[0044] The lip line measurement is intended to provide a
measurement of the upper lip from the anterior papilla at rest.
This is traditionally measured by a papillameter which consist of a
vestibule shield, incisive papilla rest and an vertical handle with
measurement increments.
[0045] The smile line measurement can also be determined by the
papillameter. The device is inserted into position and the patient
is requested to smile so that the lip line at that position from
the anterior papilla can be measured.
[0046] The midline is determined from typically from the existing
intraoral anatomic structures, usually the maxillary anterior
labial frenum.
[0047] The vertical height dimension is typically determined from
measurements taken from nose and chin reference points.
Measurements of the vertical height are taken at rest and of the
vertical dimension of occlusion.
[0048] A centric tray is commonly used to take a double arch
registration to record vertical and centric jaw registration.
[0049] The occlusal plane is an orientation of the position of an
imaginary occlusal plane which theoretically touches the incisal
edges of the incisors and tips of the occluding surface of the
posterior teeth. A normal occlusal plane extends parallel to a line
drawn from the tragus of the ear to the ala of the nose and
parallel to the interpupillary line (Kamper's Line). This ensures
that the patient will not dislodge the lower denture, particularly
while eating and not bite the lateral borders of the tongue. Tools
for measuring the occlusal plane typically include a thin flat
plane have a curved bite piece and a pair of laterally and distally
extending wings projecting from the bite piece.
[0050] There are individual tools for each of these measurements. A
single tool for obtaining all of these measurements is disclosed in
co-pending application Ser. No. ______, and is incorporated by
herein above. In a preferred embodiment of the present invention,
this tool is used to supply the necessary measurements for the
optimization process for designing a denture mold.
[0051] The dentist also selects the teeth to be fitted into the
denture base. Typically, the dentist will use a facial meter,
anterior tooth selection guide and a library catalog to determine
the appropriate teeth. Other methods may be used as well along with
the determination of the appropriate shading of the teeth.
[0052] The scan, measurements and teeth selection are then
transmitted to the dental lab or directly into the system.
System
[0053] The scanned images 12, 14 of the bite impressions and the
measurements are then transmitted into a system that will process
this information to create the digital three dimensional model.
Systems for creating such digital three dimensional models are
disclosed in U.S. Pat. No. 6,616,444, assigned to Ormco Corporation
and patents relating to that patent, U.S. Pat. No. 6,851,949,
assigned to OraMetrix, Inc. and patents relating to that patent;
and U.S. Pat. No. 7,433,810, assigned to Align Technology, Inc. and
patents relating to that patent, all of the above cited patents and
patents and published patent applications relating to them are
incorporated herein by reference. These systems are disclosed for
use with orthodontic appliances. The present invention takes the
information from these systems and utilizes the additional
information described above in regard to the measurements of the
patient's anatomy and impressions to create a digital model 20 as
shown in FIG. 3 for use with creating and optimizing a denture
base.
[0054] The system of a preferred embodiment further includes the
capability to uniquely distinguish certain anatomical landmarks of
the patient from this digital model. These landmarks are used to
create features that are registered to ensue their incorporation
into the digital model of a denture base from which a denture base
is fabricated. The anatomical landmarks of the mandibular arch, as
shown in FIG. 4 and of the maxillary arch as shown in FIG. 5 are
critical for the proper fit of the denture.
[0055] One anatomical landmark that is determined preferably by the
system, but alternatively by a technician using the system is the
line 50 as shown in FIG. 5 between the hard and soft palates. This
line is irregular and difficult to determine precisely using
current techniques. This line can be determined from the digital
model based on the pressure or density in which the bite
impressions are formed. For example, the impression will have a
greater density at the hard palate due to the greater pressure
applied upon it compared to the pressure exerted by the soft palate
when the patient bites down on the impression compound. The line
may also be readily noticeable simply due to this change in
pressure between the palates on the impression compound. This can
show up as different colors on the digital model or simply be
registered by the system. Other techniques may be used as well. The
system then is able to create the post dam along that line of
demarcation. This will ensure a tight seal to create a vacuum
between the denture and palate to secure the denture.
[0056] Another anatomical landmark that is determined is the labial
frenum 52. The precise location of the labial frenum can be
registered for the creation of the notch 72 in the denture base as
shown in FIG. 7. The buccal frenums 54, 56 are also located and
registered to create notches 74, 76 in the denture base for these
frenums as well. This minimizes dislocation of the denture during
speech and improves the comfort, fit and aesthetics of the
denture.
[0057] The buccal reflection 66 of the patient can be located as
well by changes in density due to changes in pressure on the
impression compound or simply by the change in structure of the
impression. From this precise location of the buccal reflection,
the buccal roll 59 can be formed on the denture base. Then, an
undercut can be formed in the denture base on the buccal roll. The
tissue and muscles surrounding the buccal roll will engage into the
undercut to form a gripping region to further secure the
denture.
[0058] The margin, or trim line along the buccal reflection 66, as
shown in FIG. 4 can be precisely located. This reduces the time for
technician to carve or trim the denture base after molding and
improves the comfort. This margin line can also be registered by
the system to be included into the digital denture base and denture
base.
[0059] The soft tissue lines are also determined from the digital
model so that they can be registered and included into the denture
base for fabricating the base. In particular, the gingival margin
where the gum ends on the teeth and the soft tissue surrounding the
roots of the teeth below the gum are mimicked on the denture base.
These soft tissue lines are largely for aesthetic reasons but also
may improve the comfort to the patient.
[0060] The rugae 78 of the individual patient can also be uniquely
copied for use in the denture base. Each rugae is unique to an
individual and affect the speech and comfort of the individual. The
rugae is also used to identify individuals for forensic purposes.
The rugae is copied on the tissue side and mimicked on the teeth
side. The rugae can also be accentuated or diminished as needed to
improve the speech or comfort of the patient. The rugae is
registered by the system for copying into the digital denture
base.
[0061] The digital denture model can also be used to identify
locations on the optimal denture base for implant supports to be
inserted. These supports can be housings such as housings 90 shown
in FIG. 11 or bars or other types of supports.
[0062] The digital denture model can also be used to identify areas
on the denture base which can be thinned to increase comfort while
not compromising the structural integrity of the denture base. This
can be in the arch, the palatial region and around the teeth
pockets. A finite element analysis can also be used to determine
these areas.
[0063] Other features can be identified and registered by the
system if desired. In one embodiment, denture teeth are selected
from a library that best fits the digital denture base and modified
if necessary. In an alternative embodiment, the denture teeth are
fabricated directly from information based on the digital denture
base model.
[0064] Examples of a denture base with the features formed therein
are illustrated in FIGS. 6-11. Denture base 70 includes a notch 72
for the labial frenum as well as notches 74, 76 for the buccal
frenum. A true rugae 78 that mirrors the patient's rugae is formed
as well. Pockets 80 are formed, preferably by milling or rapid
prototyping, for the installation of the teeth. The geometry of
these pockets has been critically designed for the best occlusal
fit of the teeth. Post dam 82 has been formed precisely along the
line of between the hard and soft palate. The margins or gum lines
84 and root structures 87 have also been created as well. Critical
areas have also been selected to thin the denture base,
particularly along the arch palate and teeth pockets. An buccal
roll 86 in FIG. 8 may also be formed for engagement along the
buccal reflection 66 as well. A lower denture 100 is also shown in
FIG. 10.
[0065] The denture base is selected or fabricated and the teeth are
temporarily installed. This try-in denture is then shipped to the
dentist for a patient try-in. If the fit is not satisfactory, then
the denture is used as a secondary impression tray and a new
impression is created and scanned. This scan along with any
additional changes in measurement data is put back into the system.
A new denture base is created. The teeth are once again temporarily
installed and the denture is ready for another try-in with the
patient.
[0066] This process is continued until the patient and dentist are
satisfied with the denture. Once the denture has been deemed
satisfactory, the denture is shipped back to the lab so that the
teeth can be permanently installed and the final finish and polish
procedures are performed. The finished denture is then shipped to
the dentist for the patient final try-in and acceptance.
[0067] The system of a preferred embodiment of the present
invention can be implemented in many forms. The above description
below is simply one example of an implementation of the system.
[0068] It is to be expressly understood that the above description
is intended only for explanatory purposes and is not meant to limit
the scope of the claimed inventions. Other embodiments are
considered to be within the scope of the claimed inventions.
* * * * *